Lommel Lisa L, Chen Jyu-Lin
Department of Family Health Care Nursing, School of Nursing, N411Y, University of California, San Francisco, San Francisco, CA, 94143-0606, USA.
J Immigr Minor Health. 2016 Apr;18(2):468-78. doi: 10.1007/s10903-015-0208-y.
We systematically reviewed studies to identify the association between acculturation and self-rated health (SRH) and the impact of nativity and language use in Asian and Hispanic adult immigrants. Six electronic databases were searched. Data on nativity and limited English proficiency (LEP) was extracted and analyzed. Nine studies met review criteria. A positive association between acculturation and fair/poor SRH among Asians and Hispanics was found. For both Asians and Hispanics, six out of eight studies showed nativity and all three studies reporting LEP were associated with worse SRH compared to whites. Nativity and LEP were found to be risk factors for reporting worse SRH in Hispanics compared to Asians. The degree of association between nativity and LEP and worse SRH was found to vary by Asian and Hispanic subgroup. Further studies are needed to accurately assess the health status of these populations, which will be essential to eliminating disparities.
我们系统地回顾了各项研究，以确定文化适应与自评健康状况（SRH）之间的关联，以及出生国和语言使用对亚洲和西班牙裔成年移民的影响。我们检索了六个电子数据库。提取并分析了有关出生国和英语水平有限（LEP）的数据。九项研究符合综述标准。研究发现，亚洲人和西班牙裔人群的文化适应与一般/较差的自评健康状况之间存在正相关。对于亚洲人和西班牙裔人群，八项研究中有六项表明，与白人相比，出生国以及所有三项报告英语水平有限情况的研究均与较差的自评健康状况相关。与亚洲人相比，出生国和英语水平有限被发现是西班牙裔人群自评健康状况较差的风险因素。研究发现，出生国和英语水平有限与较差的自评健康状况之间的关联程度因亚洲和西班牙裔亚组而异。需要进一步开展研究，以准确评估这些人群的健康状况，这对于消除差异至关重要。
